Abstract: A surgical system includes a robot arm, a shaft held by the robot arm at a mount between a first end of the shaft and a second end of the shaft, a power tool operable to provide a force at the first end of the shaft, and a control system programmed to control the robot arm to maintain the second end at an intended pose in an acetabulum of a patient.

Abstract: A blade mounting assembly for coupling a saw blade to a surgical saw. The blade mounting assembly including a blade clamp guard and a blade clamp moveably coupled to a drive hub of the surgical saw. The blade clamp guard defining a recess and a blade clamp at least partially disposed within the recess. The blade clamp further comprising a safety indicator. The blade clamp may be configured to move relative to the blade camp guard, the blade clamp moving between a first position where the safety indicator is exposed and a second position where the safety indicator is concealed by the blade clamp guard. The blade mounting assembly may also comprise a biasing mechanism disposed between the blade clamp guard and the blade clamp. The biasing mechanism configured to urge the blade clamp guard away from the blade clamp.

Abstract: A surgical robotics system includes a robot, a tool coupled to the robot, and control circuitry programmed to determine a movement of the tool to within a threshold distance relative to a planned path and control, in response to the movement, the robot to automatically move the tool to a target point on the planned path.

Abstract: A method includes generating a surgical plan for aligning a structure with a first bone segment and a second bone segment, and controlling a controllable guide structure to guide a cutting tool to sculpt the first bone segment, the second bone segment, and the structure based on the surgical plan. The method can include providing the first bone segment with a first bone mating surface by sculpting the first bone segment, providing the second bone segment with a second bone mating surface by sculpting the second bone segment, and providing, by sculpting the structure, the structure with at least one structure mating surface that is complementary to at least one of the first bone mating surface or the second bone mating surface.

Abstract: Provided herein are methods of performing knee surgery, which include comparing a lateral distal femoral angle (LDFA) of the knee with a medial proximal tibial angle (MPTA) of the knee and determining a pre-disease alignment of the knee therefrom. Additionally, prognostic and diagnostic methods for use in knee surgery as well as methods of determining an angle of resection for a distal femur and/or a proximal tibia during knee surgery are provided herein. Also provided is an apparatus for assisting a surgeon in performing surgery on a knee of a patient, the apparatus comprising a processor configured for performing the aforementioned methods. A computer-readable medium having stored thereon a computer program, which, when executed by a computer, causes the computer to perform the aforementioned methods is also provided.

Abstract: Robotic system and methods for robotic arthroplasty are provided. The robotic system includes a machining system and a guidance system. The guidance station tracks movement of one or more of various objects in the operating room, such as a surgical tool, a tibia of a patient, a talus of the patient, or a component of an implant. The guidance system tracks these objects for purposes of displaying their relative positions and orientations to the surgeon and, in some cases, for purposes of controlling movement of the surgical tool of the machining system relative to virtual cutting boundaries or other virtual objects associated with the tibia and talus to facilitate preparation of bone to receive an ankle implant system.

Abstract: A robot-aided knee arthroplasty system includes a robotic device and a controller communicable with the robotic device. The controller is configured to control the robotic device to apply a force configured to increase a gap distance between a femur and a tibia of a knee joint and collect measurements of the gap distance between the femur and the tibia as the robotic device applies the force.

Abstract: A method includes receiving a measurement of a force applied to a first bone of a joint via a distraction tool and determining a first gap distance between the first bone of the joint and a second bone of the joint and correlating the first gap distance with the measurement of the force. The method also includes causing, using the first gap distance and the measurement of the force, a modified force to be applied to the first bone, determining a second gap distance between the first bone of the joint and the second bone of the joint while the modified force is applied to the first bone, and creating an implant placement plan using the second gap distance and a measurement of the modified force.

Abstract: Tool assemblies, system, and methods for manipulating tissue and methods for performing a surgical procedure on a vertebral body adjacent soft tissue. A dilator probe is configured to be attached to a robotic manipulator. A sleeve is disposed coaxially around the dilator probe and releasably engaged with the dilator probe. A navigation system tracks the vertebral body and defines an insertion trajectory with respect to the vertebral body. Controller(s) control the robotic manipulator to align the dilator probe and the sleeve to the insertion trajectory and advance the dilator probe and the sleeve along the insertion trajectory to penetrate the soft tissue. After penetration of the soft tissue, the sleeve remains embedded in the soft tissue and the dilator probe is robotically or manually retracted to disengage from the sleeve to enable the sleeve to create a working channel through the soft tissue.

Abstract: Surgical systems and methods involve a first and second trackers with trackable elements and which are independently secured to a bone and separated by a distance. A localizer tracks the trackable elements. Controller(s) define a tracking arrangement based on a combination of the trackable elements from the trackers. The controller(s) register a geometry of the tracking arrangement relative to the bone and track the bone by detection of the registered geometry. The controller(s) detect a condition wherein at least one trackable element has been displaced relative to the registered geometry. The controller(s) register a position of an anatomical landmark of the bone and use the landmark to identify the at least one trackable element that has been displaced.

Abstract: Surgical systems, computer-implemented methods, and software programs for generating a milling path for a bone. The implementations involve obtaining a virtual model of the bone, a resection volume defined relative to the virtual model of the bone, and a reference guide defined with respect to the resection volume. Section planes are successively arranged along the reference guide, and each section plane intersects the reference guide and intersects the resection volume. A section path is generated within each section plane and is defined relative to the resection volume. Transition segments are generated to connect section paths of section planes. The milling path is then generated by combining the section paths and the transition segments.

Abstract: Surgical navigation systems and methods for tracking an object within an operating room involve a camera unit that houses a first stereoscopic sensing system and a second stereoscopic sensing system each comprising sensing elements adapted to sense light. A controller utilizes the first stereoscopic sensing system to sense light from the object and track the object according to a first resolution. The controller utilizes the second stereoscopic sensing system to sense light from the object and track the object according to a second resolution that is lower than the first resolution. The controller obtains data related to the object from the second stereoscopic sensing system and modifies control of the sensing elements of the first stereoscopic sensing system based on the obtained data related to the object.

Abstract: Robotic surgical systems and methods for controlling movement of a surgical tool involve a manipulator, a force/torque sensor to measure forces and torques applied to the surgical tool, and a control system. The control system obtains a virtual boundary for the tool that is a three-dimensional and elongated virtual tube to predefine a tool path for the tool. The control system defines virtual constraints to constrain movement of the surgical tool to be along the tool path defined by the virtual tube. An input is received from the force/torque sensor in response to user forces and torques manually applied to the tool by a user. The control system simulates dynamics of the tool in a virtual simulation based on the virtual constraints and the input from the force/torque sensor and commands the manipulator to advance the tool along the tool path based on the virtual simulation.

Abstract: Surgical systems and methods involving a reamer tool and a surgical robotic arm. The reamer tool has a shaft, a tool engagement surface coupled to the shaft, and a reamer head attached to the shaft. The surgical robotic arm supports a guide that can receive the reamer tool. The guide has a pair of arms, each arm extending to an arm end and the arm ends being spaced apart from one another to provide an opening between the arm ends. A channel is formed between the arms. The guide enables a portion of the shaft to move through the opening between the arm ends such that the shaft portion can enter and exit the channel. The arms define a guide engagement surface that is arc-shaped and that enables contact with the tool engagement surface to facilitate alignment of the reamer tool and the guide.

Abstract: Tools, assemblies, surgical systems enable impacting a prosthesis into a surgical site. The tool has an impactor head with a surface to receive an impact force that is manually imparted by a user. A tool shaft has a distal portion and a proximal portion fixed to the impactor head. The tool shaft can be supported by a robotically manipulated tool guide for alignment of the tool shaft relative to the surgical site. A compliance mechanism of the tool has a proximal body coupled to the distal portion of the tool shaft and a distal body supported by the proximal body. The distal body is adapted to releasably attach directly to the prosthesis. The distal body is moveable relative to the proximal body for providing compliant motion of the distal body and prosthesis relative to the tool shaft in response to the impact force that is manually imparted by the user.

Abstract: A surgical system and method involve a manipulator including a plurality of links and joints and a tool coupled to the manipulator. A navigation system includes a localizer, a first tracker coupled to the robotic manipulator or the tool, and a second tracker coupled to a workpiece. Controller(s) determine, from the navigation system, a pose of the tool relative to the workpiece. The controller(s) control the robotic manipulator to facilitate removal of a first portion from the workpiece with the tool and sense interaction between the tool and the workpiece during removal of the first portion to detect a density of the workpiece. The controller(s) control the robotic manipulator to facilitate removal of a second portion from the workpiece with the tool, wherein a cutting depth for the second portion is based, at least in part, on the detected density.

Abstract: A method includes storing a cloud of points reached by a cutting tool during a first stage of modifying a bone with the cutting tool, generating a surface based on the cloud of points, generating a plan for a second stage of modifying the bone with the cutting tool based on a location or rotation of the surface, and using the plan to assist the cutting tool in executing the second stage of modifying the bone.

Abstract: Systems and methods for calibrating ultrasound imaging directed towards a bone region. An ultrasound imaging device generates a first steered frame and a second steered frame, wherein the first steered frame and the second steered frame are directed towards the bone region at different angles from one another and are superimposed with one another. Parameters of each of the first steered frame and the second steered frame are applied to a cost function that outputs an estimated propagation speed of ultrasound waves to the bone region for optimizing an appearance of the first steered frame and the second steered frame. The ultrasound imaging device is calibrated based on the estimated propagation speed.

Abstract: A surgical robotics method includes capturing points along a surface of a cutting tool by tracking a probe, deriving a tool axis from relative locations of the points, and controlling, using the tool axis, a robot that interfaces with the cutting tool.

Abstract: A packaging body for use with an elongated tool that includes a distal cutting bur, a first shaft portion proximal to the distal cutting bur, and a second shaft portion extending from the first shaft portion. The packaging body has a distal casing with first and second distal sections. The distal sections each have a distal cavity being shaped to conform to the distal cutting bur and the first shaft portion. The distal sections are configured to couple to one another to collectively encase the distal cutting bur and the first shaft portion within the distal cavities. The packaging body includes a proximal section with a proximal cavity that is elongated and sized to receive the second shaft portion. A packaged tool assembly can include the packaging body that houses the elongated tool or a sealed pouch that includes the packaging body and the elongated tool disposed therein.